We use 99499 (unlisted E/M) for these types of visits. The exception is sports physicals. If the sports physical meets the criteria for a preventative medicine encounter, we report these as well-child checks using the preventative medicine E/M code based on the patient's age and new vs. established patient criteria. If the sports physical does not meet the criteria for a preventative medicine encounter, we report 99499. These types of encounters are not usually reimbursed by payers, so for sports physicals, if we report 99499, we make these cash visits; for DOT or employer physicals, they are either cash visits as well or we invoice them back to the employer.